Monday, October 20, 2014

WARNING: Below, you will be exposed to toxic thinking and noxious conclusions from right-wing partisans. A Level Four HazMat suit is recommended. The CDC will NOT be available for protection. You have been warned. Proceed with caution. Should you experience nausea, vomiting, tearing eyes, a rise in blood pressure SHUT DOWN YOUR BROWSER IMMEDIATELY and seek expert medical attention from Doctors Jack Daniels or Jim Beam.
The Ebola crisis is, in point of fact, a manufactured crisis. Media outlets, tired of covering insipid and meaningless political horse races found a sexy and dangerous news item and not only ran with it, but decided to tie it into the politics of the day.

The prevailing wisdom, of course, is this crisis reflects badly on the CDC. I suppose when you push a false narrative, it has to. After all, the CDC is supposed to be on top of "crises" like these, and handle them with aplomb.

Tell that to the 20,000 AIDS victims who died before the CDC even got their boots on back under Reagan.

In point of fact, the real enemy of the American people is, not surprisingly, the GOP, and Texans specifically. It's no surprise that this outbreak occurred in the state least able to handle an outbreak. Texas has great hospitals -- the heart transplant was practically perfected in Houston -- and clearly there's enough oil money down there to import the finest doctors who want a live of luxury.

On September 15, Thomas Eric Duncan becomes exposed to the Ebola virus when he accompanies a pregnant friend to a hospital in Liberia, who believes she is miscarrying. According to the cab driver, they tried four hospitals. None would see her (this echoes later in the tale. You'd like to think the States would be different...). The next day, the friend dies.

On September 19, Duncan leaves Liberia to visit family in Texas. He cannot fly directly to the States, so he flies to Brussels, then DC, then Dallas. He is not symptomatic. Much has been made by the lunatic reactionary fringe of the fact that Duncan "knew" he had the virus, as he quit his job on September 4, and arranging a visa to the US, but that's patently untrue. The visa was of long standing and his girlfriend had moved here long before the contact.

That Ebola was an unmanageable problem in Liberia may have contributed to his decision to leave, but there is no evidence that Duncan even saw a doctor prior to Dallas, much less received a diagnosis. Indeed, all reputable sources point to the September 15 trip as the first time he even sets foot in a hospital and that was for his neighbor.

On September 24, Duncan is symptomatic: fever, and nausea. Two days later, he decides to go to the emergency room, since a) he has no insurance and b) Ronald Reagan mandated that no emergency room may turn away a patient without treatment.

At Texas Presbyterian, Duncan tells a nurse he recently arrived from Liberia but that information does not get passed along because, Texas (In NYC, by contrast, emergency rooms routinely have maps of the world that staff can refer to on which disease outbreaks by nation are charted.) Conservatives have gotten this part wrong endlessly, preferring to point to one interview where the TPH staff said no one was aware of his recent travels. Malpractice suit number one.

TPH, suspecting a low grade virus, send him home with a prescription for antibiotics. Antibiotics, it should be pointed out, are completely ineffective against any virus. Malpractice suit number two.

Two days later, on September 28, EMTs are dispatched to Duncan's home who bring him to the hospital. None of the EMTs have developed Ebola symptoms, we should note. And they would have had less reason to suspect Ebola than the hospital staff. Protocols were followed.

It's not until September 29 that the CDC receives even the most cursory notification of a possible Ebola case, when a relative of Duncan's calls them. He gets shuffled about, and the CDC has not confirmed this phone call, although the State Department, to whom the relative was referred, does acknowledge receiving a call, but that the relative and others who State interviewed denied that Duncan was exposed to Ebola (possibly fearing deportation, or at the very least, quarantine, I suspect).

As you now know, two nurses contracted Ebola from Duncan. One, Nina Pham, was symptomatic as of October 12. It's possible that she came into contact with Duncan's bodily fluids before the protocols would have been triggered, as Ebola may, and I stress may, not have been diagnosed yet (altho the mind wobbles at how you don't put full hazmat gear on for a vomiting patient, no matter what the condition).

Also on October 12, Dallas County Judge Clay Jenkins orders a watch list of people who came into contact with Duncan be created.

Yet, a moron, one Amber Vinson, gets on a plane the very next day from Cleveland back to Dallas. Malpractice suit number three.

Stories vary about whether the CDC okayed her travel. Vinson and her partisans have suggested the CDC cleared her. The CDC, however, maintains they tried to persuade her not to travel but ultimately relented for her return to Dallas, for reasons unknown.

Mind you, the responsibility for Vinson self-quarantining would have been TPH's and the Dallas department of health, not the CDC. Dallas authorities had already quarantined the Duncan family. The Jenkins order suggests they could have done the same as they identified potential patients.

But it's the CDC's fault. Of course. Because they are the Federal government run by the black guy in public housing.

Never mind that the combined budget for the CDC and the National Institutes of Health were cut 44% in the budget deal last year that re-opened the Federal government.

(And a side note: if this had happened in 2013 under the shutdown, the Republicans would have been revealed as the treasonous bastards they are, since the CDC would have been completely prevented from doing anything except maybe issuing warnings.)

Never mind that we still don't have a Surgeon General, who might have been able to move more quickly on this matter and certainly brought more resources to bear to deal with this problem, because the NRA has vetoed the most recent candidate.

And never mind that the last time the Feds imposed a mandatory quarantine on ANYone, they ended up getting sued (altho a judge threw the case out.)

This is not an epidemic. This is not even an outbreak. We may still see a few more cases in the States, but for the most part, by October 1, the disease was back under control. It's more like a wildfire than a flu. But you'd hardly know that watching the conservative media like FOX News or CNN.

The missteps here are many, and kudos to the CDC for admitting they could have been quicker on the draw -- they could have -- but the bulk of the evidence suggests the problem lies in Texas: in it's poor healthcare system, lack of universal health insurance, and "damn the rules, I'll do what I want" rugged individualism.

Also, the fact that Duncan was not white may have played a role in his treatment at the hospital. I would like to think not, but I'll keep an open mind because this is Texas, after all.

All this occurs over a backdrop of precisely one Ebola death, the fellow who brought it here, and two additional confirmed cases.

Keep in mind that in the same time frame that this "crisis" has unfolded, there have been a thousand deaths by gun in this country.

"Liberals got women the right to vote. Liberals got African-Americans the right to vote. Liberals created Social Security and lifted millions of elderly people out of poverty. Liberals ended segregation. Liberals passed the Civil Rights Act, the Voting Rights Act. Liberals created Medicare. Liberals passed the Clean Air Act, the Clean Water Act. What did Conservatives do? They opposed them on every one of those things...every one! So when you try to hurl that label at my feet, 'Liberal,' as if it were something to be ashamed of, something dirty, something to run away from, it won't work, Senator, because I will pick up that label and I will wear it as a badge of honor." -- Matt Santos, The West Wing